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BAKERSFIELD FIRE DEPT.
Prevention Services
E ERSFI, LD 2101HStreet
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE Bakersfield, CA 93301
Tel.: (661) 326-3979
SECTION 1: HazardOUS Materials Business Plan Fax: (661) 852-2171
Ins ion
INSPECTION DATE INSPECTION TIME
FACILITY NAME
PHONE NO. NO OF EMPLOYEES
ADDRESS I
R' r 0 1
USINESS ID NUMBER
FACILITY CONTACT
Consent to` Inspect Name/Titie
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CI_ ROUTINE ❑COMBINED y <❑ JOINT AGENCY El MULTI-AGENCY El COMPLAINT ❑ RE- INSPECTION
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C V . ompiance OPERATION CERS
V= Violation; 1,11 Minor Violation COMMENT #
APPROPRIATE PERMIT ON HAND (
BMC:15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
A
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION 'OFQUANTITIES (CCR: 2729.4) 1010006 =`
VERIFICATION OF LOCATION` (CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
' VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC`. 2703.5) 3030007'
HOUSEKEEPING (CFC:' 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS' WASTE ON SITE? El YES Y'O i ture of, Recei t
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within S'days of correcting all of the violations, sign and return a copy of this page to Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 8//14)